As America’s leading medical group, Envision Physician Services delivers care when and where it’s needed most and treats more than 32 million patients each year.
Working with our hospital partners, we often provide care for patients with complex and chronic medical conditions.
Our hospital partners face unique challenges as they work to reach the Quadruple Aim of better outcomes, lower costs, improved clinician experience and better patient experience.
For patients with progressive illnesses, long-term health needs and multiple comorbidities, their continuum of care often involves an array of clinicians from multiple specialties and can require them to travel to numerous sites to receive the care they need.
Envision’s commitment to integration means we offer a more effective, patient-centric approach to care delivery--one that unlocks value for our hospital partners and our patients by streamlining the continuum of care and improving care quality.
Integrating emergency medicine (EM) and hospital medicine (HM) services eliminates silos around those individual teams, helping EM and HM clinicians more fully consider each patient’s journey and work together to ensure an uninterrupted continuity of care and achieve better outcomes and patient experience.
Ongoing care for complex and chronic conditions often involves a number of clinicians, including the patient’s primary care physician and multiple specialists. Envision’s integrated practices facilitates streamlined communication between these clinicians, helping them more efficiently address the needs of their patients.
Our integrated care model establishes a cohesive team of emergency medicine physicians and hospitalists who are well-equipped to work together and tackle even the most challenging of cases.
Working together, the integrated EM-HM team helps:
- identify at-risk patients;
- engage and educate patients and families;
- set realistic expectations;
- navigate patients through the complexities of their condition and the health care system;
- support clinical care by streamlining communication and the transmission of clinical data between the emergency department and the inpatient unit;
- And reduce administrative burdens.
For one Envision partner facility, our integrated EM-HM services improved communication and ensured alignment across the care continuum. Prior to partnering with Envision, this facility struggled to reach acceptable CMS quality benchmarks for patient readmission rates stipulated in the Affordable Care Act, triggering sizable reimbursement penalties. After implementation of our integrated services, the hospital’s 30-day readmission rate was reduced by 55%, helping avoid further revenue loss as a result of Medicare reimbursement penalties.
See how Envision Physician Service’s integrated care model helped this partner facility’s EM and HM services thrive together. Case Study
Envision’s focus on evidence-based medicine creates higher levels of clinician engagement and satisfaction, and it allows us to deploy advanced data analytics to provide both clinicians and hospital partners with real-time feedback on performance and outcomes.
An effective management approach must also be able to address multiple specialties’ distinct practice patterns and rapidly evolving clinical protocols. Envision’s integrated care services provide tremendous insight to each patient’s clinical journey, improving care across the continuum.
Often Envision emergency department and hospitalist performance metrics are connected to the hospital’s key operational performance metrics. For one Envision partner facility, our integrated EM-HM services improved performance across several metrics related care quality and efficiency:
- 75% improvement in arrival-to-greet time, from 40 minutes to 10 minutes
- 70% reduction in patient leaving against medical advice (AMA), from 3.27% to 0.98%
- 43% improvement in low-acuity length of stay, from 151 minutes to 86 minutes
- 25% improvement in admit length of stay, from 353 minutes to 264 minutes
To see how Envision’s integrated care model helped this partner facility reach its goals and improve the overall quality of its care, read our case study.